Healthcare Leadership CouncilMembership Meeting

Don BerwickAdministrator, CMS

January 19, 2011

What Kevin Asked for…

• “Please tell me what you’re going to do before you do it.”–MAKE A PLAN

• “Please talk to each other.”–BE A TEAM

• “Please ask me what I think.”–YOU ARE GUESTS IN MY LIFE

Vision

CMS is a major force and a trustworthy partner for

the continual improvement of health and health care for all

Americans.

3

Better Health forthe Population

Better Carefor Individuals

Lower CostThrough

Improvement

The “Three-Part Aim”

4

Working with the Private Sector

• Almost everything we envision gets better if we align with the private sector–Genuine partnership–Shared learning –Thoughtful and consistent coordination

5

Operating Values

How shall we work together and with others?

1. Boundarilessness2. Speed and Agility3. Unconditional Teamwork4. Valuing Innovation5. Customer Focus

6

CMS Strategic Areas of Focus

1. Excellence in Operations2. Improve Care for Individuals3. Integrate Care for Populations4. Improve Health for Populations and

Communities

7

Strategic Area 1: Excellence in Operations

1. Excellence in Operations “The Best Place to Work in Government.”

“Achieve unprecedented pride and joy in work in the entire CMS

workforce, and a reputation in government and the private sector

for speed, responsiveness, reliability, and cooperation.”

8

1. Excellence in Operations

• Improve Work-Life Survey Results• Protect the Trust Fund and Scarce Medicaid

Dollars• Simplify Our Work and the Non-Value-Added

Demands We Make on Others• Establish the Innovation Center• Improve CMS Information and Information

Technology• Harness GME Funding Strategically • One CMS – Full Integration between Central

Office and Regional Offices

9

Model for Improvement (Nolan, et al.)

10

Act Plan

Study Do

What are we trying to accomplish?

How will we know that a change is an improvement?

What changes can we make that will result in an improvement?

Strategic Area 2: Improve Care for Individuals

“Lead and support substantial, measurable improvements in care for

all Americans in all dimensions of the Institute of Medicine’s six Aims for

Improvement.”

11

2. Improve Care for Individuals

• Improve Patient Safety• Implement Affordable Care Act Quality-

of-Care Provisions• Smooth Medicaid-CHIP-Exchange

Eligibility Processes• Conditions of Participation – Initiate a

Multi-Year Review and Inventory• Coverage Determination – Initiate a

Multi-Year Review and Improvement

12

Aims for Improvement

• Safety• Effectiveness• Patient-centeredness• Timeliness• Efficiency• Equity

13

Aims for Improvement

• No Needless Deaths• No Needless Pain or

Suffering• No Helplessness for

Patients or Those Serving Them

• No Unwanted Waiting• No Waste• …For Anyone

14

Strategic Area 3: Integrate Care for Populations

“Encourage and support innovations that lead to seamless, coordinated

care for all Americans whose health, function, and satisfaction

depend on it.”

15

Strategic Area 3: Integrate Care for Populations

• Help Accountable Care Organizations Thrive

• Help Dual Eligible Beneficiaries Get Better Care

• Strengthen Medicare Advantage• Increase Utilization of Medical

and Health Homes

16

Strategic Area 4: Improve Health of Populations and Communities

“Extend the lives and vitality of all Americans by helping to reduce the causes and risk factors for ill health –

both physical and emotional.”

17

4: Improve Health of Populations and

Communities

• Reduce Heart Attacks and Strokes:

• Reduce Disparities

18

The Elevator Speech…

• “So… what do you people in CMS do?”• “We improve America’s health and health care…– We make care safer every day for every patient.– We make sure that care is seamless – we make

journeys, not fragments.– We help keep people healthy.– And… We practice what we preach.”

19